Individual
AMANDA MATHIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 BON AIR RD, GREENBRAE, CA 94904-1702
(559) 936-9186
Mailing address
825 E EVELYN AVE APT 440, SUNNYVALE, CA 94086-6538
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
07/27/2016
Last updated
09/09/2016
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